Gallbladder
Gallbladder is a hollow follicular form, located in the right side down the liver, ranging in length between 7-10 cm. Yellow juice is stored in the small intestine and is secreted when the fatty food enters the gastrointestinal tract. The yellow juice helps digest the fatty substance and removes bilirubin from the red blood cells. This juice passes through the liver through the channels Left and right liver, and then unite to be the general hepatic biliary duct, and the public channel in turn combined with the bile duct bile duct from the neck of the gallbladder constituents of the general bile duct, through which the juice extract Furs to the small intestine.
Cholecystectomy
Bile can cause many diseases, including: gallstones, inflammation, cancer, and abscess, and may explode. It can treat gallbladder inflammation with antibiotics and painkillers, but if repeated inflammation requires surgical intervention, and the eradication of gallbladder the best solution for many of its diseases, including gallstones gallstones with symptoms that appear with them, chronic gallbladder inflammation and gall bladder cancer.
Complications of gallbladder resection
Several problems can arise as a result of the cholecystectomy, including:
- Internal wound inflammation, symptoms include increased pain, swollen area of the wound, redness and pus discharge; this requires taking antibiotics to control inflammation.
- Yellow leaks leakage, and symptoms of leakage of abdominal pain, may require the intervention of the garage to discharge from the abdomen, and leakage of yellow juice almost at 1% of those who have a gallectomy.
- Injury to bile ducts during the operation, injury to the small intestine, or blood vessels.
- Some people suffer from general problems of operations, such as: a stroke in the foot.
Postoperative symptoms of gallbladder
Post-gallbladder syndrome is also called post-gallbladder syndrome. Its symptoms are symptoms of gallstones. It is thought to be caused by leakage of yellow juice to various places, including the stomach. By gallbladder, the body may lose the place where the yellow juice is stored, It can be caused by not extracting all the stones in the yellow channels, and can get two problems: The first is the increase of secretion of yellow juice to the upper part of the digestive system, which may lead to inflammation of the stomach or esophagus, and the second problem is related The lower part of the gastrointestinal tract; where the patient gets diarrhea and abdominal cramps down. This syndrome occurs in 10-15% of people whose gallstones are removed.
Symptoms of post-cholecystectomy syndrome
Symptoms can be summarized as follows:
- stomach ache.
- Dyspepsia, and increased gas.
- Diarrhea.
- Yellowing of skin and eyes.
- High temperature.
Causes of Post-Gallbladder Syndrome
The cause of this syndrome is a defect in the flow of the yellow juice, where the place where stored and collected, which is the gallbladder, so the eradication leads to a defect in the path of yellow juice, and one of the main reasons for the occurrence of post-gallbladder syndrome :
- Survival of part of the gall bladder after eradication, or reconstitution.
- Neuroma in the gallbladder or bile ducts.
- Lever Inflammation.
- Liver cirrhosis.
- Gilbert’s disease.
- Liver counts.
- Thyroid poisoning.
- Bile ductitis.
- Inflammation of bile ducts.
- Occurrence of adhesions in the bile ducts, narrowing, blockage, or cancer, or screening channels.
- Uterine dysfunction (Sphincter of Oddi dyskinesia), spasm, hypertrophy, constriction or cancer.
- pancreatitis.
- Calculation of pancreas.
- Pancreatic cancer, or have bags in it.
- Hernia hernia.
- The esophagus (Achalasia)
- Gastritis; the result of yellow juice.
- Ulcers.
- Cancer of the stomach.
- Occurs adhesions in the duodenum, or small intestine.
- Irritable bowel syndrome.
- Hernia hernia.
- arthritis.
Trigger factors for the syndrome
Many researchers have studied the risk factors that may lead to post-cholecystectomy syndrome and have not yet reached a final conclusion, but there has been consensus that proper testing, operation under skilled hands, and a comprehensive study of all bile ducts The incidence of the syndrome is high, and the risk factors that may make the incidence of the syndrome greater: an urgent eradication without adequate assessment of the situation, and if the patient suffered more than ten years of the symptoms of gallbladder disease before eradication, the incidence of the syndrome in these cases To 34%.
Diagnosis and testing
The procedures that a doctor can take to determine the cause of the symptoms begin with knowing the symptoms that appeared on the patient, and when they appeared, and then perform tests such as: blood test to see if there was any sign of inflammation or not, To detect the presence of a defect in the pancreas or not, in addition to the examination of liver function, and knowledge of the time of prothrombin (PT) (Prothrombin time); to know if the cause of liver defect, and if the patient is very tired must be performed analysis of blood gases to see if there is a defect in Blood acidity or not, and often works doctor Sonara to assess the condition of the Bile ducts, liver and pancreas, or depicts the pancreas and biliary ducts in endoscopic retrograde cholangiopancreatography, which is the most effective method for diagnosis of post-cholecystectomy syndrome.
The doctor may request a chest image to exclude the diaphragm hernia, inflammation of the lower part of the lung, and in some cases may require a chest x-ray, and can perform a binoscopy or examination of colored rays; to exclude other causes, such as: acid reflux esophageal or gastric ulcers , And there are tests and other pictures can be requested by the doctor in each case, so that the doctor has the option to reopen the abdomen; to see why the surgeon is another option.
the cure
Post-cholecystectomy syndrome is often a temporary condition. After a correct diagnosis, treatment should begin, either medically or surgically. Patients with IBS can benefit from bulking agent, colonic antagonists and antidepressants, Neural sphincter may also benefit from high doses of calcium or nitrate channel inhibitors. Cholestyramine may be given if the patient complains of diarrhea only, and people with gastroesophageal reflux or gastritis can be treated with antibiotics Or Proton Pump Inhibitors. A study found that lovastatin lowers cholesterol and has improved 67% of patients.
In some cases, the doctor uses a surgical solution. The most commonly used procedure is pancreatic and biliary imaging in endoscopic retrograde cholangiopancreatography. This procedure is for diagnosis and treatment at the same time, and can be used for exploratory surgery when not performed Tests and images are sufficiently diagnosed, or when drug therapy does not work.
protection
A good preoperative assessment and correct procedure can greatly reduce the incidence of post-cholecystectomy syndrome. The patient should be informed of the complications that may result from the operation at any time after the gallbladder is removed. After the gallbladder is removed, the patient should consult his doctor and follow To correct any complications that may occur, such as leakage of yellow juice from bile ducts, or infiltration of gallstones and blockage of yellow channels, so follow-up is necessary after the eradication, and is advised to eat less amounts of saturated fat.